A Comparison of Surgical Outcomes between Single-Site Robotic, Multiport Robotic and Conventional Laparoscopic Techniques in Performing Hysterectomy for Benign Indications

Gynecology and Minimally Invasive Therapy
Natasha GuptaRobert Scott Furr

Abstract

Minimally invasive gynecologic surgery (MIGS) is the standard of care in performing hysterectomy for benign conditions. However, the choice of laparoscopic modality is largely dependent on surgeon's discretion, experience, and equipment availability. The objective of this study is: To compare outcomes between different minimally invasive approaches available for benign hysterectomies and to evaluate patient factors that influence the use of one approach over another. With this study, we sought to provide some objective criteria while deciding the appropriate MIGS technique. This is a retrospective study comparing perioperative outcomes between three techniques of minimally invasive hysterectomy: laparoscopy (LSC), multiport daVinci (MP-Rob) and single-site daVinci (SS-Rob). Patients undergoing benign hysterectomy (daVinci or conventional LSC) from January 2015 to July 2016 were included. 129 patients were identified and divided into: LSC (n = 44), MP-Rob (n = 36) and SS-Rob (n = 49). There were statistically significant differences in age (MP-Rob46 ≠ LSC39), body mass index (BMI) (MP-Rob33 ≠ LSC27 or SS-Rob26.8), uterus weight (MP-Rob144 ≠ LSC102 or SS-Rob105) and operative time (LSC192 ≠ SS-Rob162.3 or MP-Rob163). Chi-square a...Continue Reading

References

Sep 10, 2011·JSLS : Journal of the Society of Laparoendoscopic Surgeons·Pedro F EscobarTommaso Falcone
Mar 1, 2012·The International Journal of Medical Robotics + Computer Assisted Surgery : MRCAS·Pedro F EscobarLori Weinberg
Jul 9, 2013·Surgical Innovation·Maria Angeles Martínez-MaestreRafael Torrejón
Feb 18, 2014·Journal of Minimally Invasive Gynecology·Fatih SendagMehmet Kemal Oztekin
Aug 5, 2014·American Journal of Obstetrics and Gynecology·Stacey A Scheib, Amanda N Fader
Sep 19, 2014·The International Journal of Medical Robotics + Computer Assisted Surgery : MRCAS·Stefano BoglioloArsenio Spinillo
Dec 17, 2014·Journal of Minimally Invasive Gynecology·Aera YoonTae-Joong Kim
Jan 31, 2015·Gynecologic and Obstetric Investigation·Ali AkdemirFatih Sendag
Feb 11, 2015·Journal of Minimally Invasive Gynecology·Shailesh P PuntambekarA S Puntambekar
Aug 15, 2015·Journal of Minimally Invasive Gynecology·Benjamin B AlbrightElisabeth A Erekson
May 14, 2016·Journal of Gynecologic Oncology·Giacomo CorradoEnrico Vizza
May 26, 2016·Journal of Minimally Invasive Gynecology·Stefano UccellaFabio Ghezzi

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Citations

Jun 3, 2021·Journal of Clinical Medicine·Liliana MereuSaverio Tateo

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Methods Mentioned

BETA
hysterectomy
cesarean section
hysterectomies
dissection

Software Mentioned

rob
MP
SS

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